National Provider Identifier
Amanda M Robertson, DPT
Amanda M Robertson, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Ithaca, NY and a listed phone number of (607) 233-5818.
Profile Overview
- NPI
- 1952696130
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- June 15, 2011
- Last Updated
- September 10, 2024
Practice Location
- 35 Thornwood Dr Ste 500
- Ithaca, NY 14850-1285
Phone: (607) 233-5818
Mailing Address
- 1 Guthrie Sq
- Sayre, PA 18840-1625
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1952696130
- Entity Type
- Individual
- Last Name
- Robertson
- First Name
- Amanda
- Middle Name
- M
- Credential
- DPT
- Provider Other Last Name
- Gatch
- Provider Other First Name
- Amanda
- Provider Other Middle Name
- M
- Provider Other Credential Text
- DPT
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 1 Guthrie Sq
- Mailing City
- Sayre
- Mailing State
- PA
- Mailing ZIP Code
- 18840-1625
- Mailing Country
- US
- Mailing Phone
- (570) 888-5858
- Practice Street Address
- 35 Thornwood Dr Ste 500
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1285
- Practice Country
- US
- Practice Phone
- (607) 233-5818
- Practice Fax
- (607) 241-9969
- Enumeration Date
- June 15, 2011
- Last Updated
- September 10, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- September 10, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)